"Tell me." Zheng Ren put his left hand flat under his armpit, put his right elbow on his left arm, held his cheek, squinted his eyes and looked at the film hanging on the film reader, concentrating on his mind.

"Here is the most typical image of the traumatic wet lung." Su Yun knocked the film with the index finger of his right hand, "However, such a serious fracture will cause more or less hundreds of milliliters of bleeding, and a small amount of pneumothorax is also OK."

"You think the patient has no blood chest, which is strange?"

"Yeah." Su Yun did not shy away. If he was hypocritical and polite, he had to talk about it from the perspective of hoping that the patient's condition would be as lighter as possible.

But,

He didn't.

Talking bluntly,

Not to be silly.

"There is indeed a problem." Zheng Ren pondered and said according to Su Yun's idea: "The patient's blood pressure is not high. At his age, his blood pressure should fluctuate between 120 and 130. It is appropriate to have multiple rib fractures, severe pain, and maintain blood pressure at 150 and 160. However, the patient's blood pressure is 90-100, which is worth pondering."

Lower blood pressure means bleeding.

However, bleeding in the chest cavity, whether it is lung rupture or intercostal artery rupture, will cause imaging manifestations of pleural effusion.

However, this manifestation did not appear on the patient's lung CT.

Even the big pig's hoof in the system did not indicate how serious the traumatic complications were. Lung rupture is a diagnosis, which may be very serious and may heal itself.

According to general circumstances, this patient can now be sent to the thoracic surgery ward for hospitalization. Take one step at a time in the future. If there is any problem, it can be handled at any time.

But Zheng Ren and Su Yun are worried that once a problem occurs, it will be a big problem. If you want to solve it, now is the best time!

"Su Yun, do you also ask me for this disease?" The two of them were struggling when a voice came.

Looking back, it was Cao Guozhen, the inpatient director of the Department of Cardiac Thoracic Surgery.

He is tall and sturdy like a black bear, and he walks happily.

Speaking of...

It's also a common trend.

There was a thorn in his words, probably because when rescuing Yang Lili, Su Yun and Zheng Ren swept the face of cardiothoracic surgery on the operating table, and their mood is still not going well.

He glanced at the film and a contemptuous smile appeared on the corner of his mouth.

"The most typical traumatic wet lung, just this, does it take you two giants in the emergency department to study together?"

Zheng Ren recalled countless possibilities in his mind, and Su Yun ignored Cao Guozhen's provocative words and frowned and pondered.

"You are trying to keep the patient in the emergency room." Cao Guozhen sneered, "If you stay, stay, no problem. Brother tells you, first use hormones to impact it, then 10 mg of dexamethasone a day, plus anti-inflammatory, atomization, and phlegm-relieving treatment. Don't follow the instructions, 100 pumps a day, and pump the intravenous pump inward, there is no problem." (Note 1)

Zheng Ren and Su Yun are still thinking.

"Follow the instructions to give Mu Shutan. There will definitely be severe pneumonia in three days. Don't say that I didn't remind you." Cao Guozhen kept chatting.

What he said makes sense, and is a conscientious suggestion.

Su Yun knew that the imported medicine of Mushutan was its cheap price and had almost zero side effects. In the imperial capital, he used the maximum amount of 300 pieces a day, and the intravenous pump continued to be pumped in 24 hours.

Then pay attention to turning over and knocking on the back and coughing phlegm to prevent accumulated pneumonia. The patient can be discharged from the hospital within 1 week.

However, the problem is that Zheng Ren and Su Yun do not consider that the patient is simply having multiple right rib fractures and traumatic wet lungs.

Whether in the emergency ward or cardiothoracic surgery ward, once the current opportunity is missed, the patient...

There may be danger.

But, it's just possible.

Medicine is an empirical science and also an inquiry science.

There is no evidence, why don’t you tell me that you want to open your chest and investigate, are you afraid that the patient will kill you after the operation?!

After a few minutes of judgment, Zheng Ren suddenly thought of the reason why Su Yun came back to him.

He wanted to open his chest to investigate, but he did not have this authority.

Just like I always ask Director Pan to carry the thunder, this damn person is looking for me to carry the thunder!

"The patient cannot treat this way." Zheng Ren put down his hand, looked back at Cao Guozhen, and said: "At least, an emergency fracture internal fixation surgery is required."

Su Yun was stunned.

Zheng Ren's words are so shameless.

The patient's fracture alignment is good and there is no need to re-fix it at all.

But... this is a particularly good reason and excuse, isn't it?

"Well, look here, the misalignment is obvious. The bone stubble may pierce the pleura and lungs when the patient turns over and knocks on the back, causing secondary bloody and pneumothorax." Su Yun pointed to a tiny break point on the film and said confidently.

Generally speaking, lung CT is tomography, not for viewing fractures.

To see the fracture condition, you need to undergo a three-dimensional reconstruction of the chest X-ray and 64-row CT.

But every fault in the lung CT can see a little bit of the situation. Su Yun grabbed one of the positions and said that the fracture was particularly severe.

Cao Guozhen was stunned...

In the emergency room, in order to get the surgery, he was so shameless?!

Paralyzed, no wonder general surgery can't beat them.

According to them, this operation must be done in an emergency room. If the patient does not do it, they will have something to say in the future.

Cao Guozhen's mind was also very fast, and then he said, "Then let's take it, I'll do it."

“你?”苏云嘴角露出一丝欠揍的嘲讽笑容,“你会做手术?切过肺叶么?做过袖状切除么?什么都不会,就会做个骨折,你舔着脸说自己会做手术?”

"You..." Cao Guozhen really wanted to go up and kill Su Yun.

I kept talking politely. Although I had a little sarcastic tone, I didn't swear at all.

Su Yun actually swears himself directly. Is he a wild dog?

"Ten rib clips are sent over." Su Yun blew his black hair before his forehead and said lightly.

"Why!"

"Do you want to find a medical office? Or Director Old Pan? We don't have time to do thoracic surgery. If we find Director Old Pan, he will definitely keep the chest emergency department." Su Yun said with a smile: "Isn't it just a chest vial, even a nurse can do it. Do you have the nerve to say it's surgery?"

This... is so fucking.

Cao Guozhen realized that what Su Yun said was true. If they left the chest emergency department with the flow, the director would know that it would be strange if he didn't want to fight him to death.

After holding his breath, Cao Guozhen turned around and left.

"Please get into the hospital, I will notify Yiren and the others to prepare for emergency surgery." Zheng Ren said.

"Yeah." Su Yun nodded, and when Zheng Ren turned around and left, he suddenly said: "Boss, thank you."

"It's okay." Zheng Ren waved his hand, "I believe you."

...

...

Note 1: The usage of Mu Shutan was taught by Mr. Chen Houkun of the Medical University fifteen years ago. Teacher Chen was very good. He used this method of super-instruction dosage to cure several very serious patients with traumatic trauma + traumatic wet lungs + accumulated pneumonia. One of the patients, ICU, gave up and threw them on my bed. He was discharged from the hospital for 26 days. Later, the patient came to see me once with crutches.

Note 2: This surgery was a patient I answered in 2009. I watched the film without any indication of surgery. I watched the film for an hour, made three calls to the director, and finally brought the director from home for surgery in the middle of the night. Fortunately, the surgery was done early, thanks to Dali, who was in the custody room at that time.

Note 3: Thank you for the Hongchen Alliance, please wait for more updates, don’t worry.
Chapter completed!